The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.
Do we all mean the same thing by “problem-based learning”? A review of the concepts and a formulation of the ground rules
Abstract
Problem-based learning (PBL) has emerged as a useful tool of epistemological reform in higher education, particularly in medical schools. Indeed, PBL has spent most of its career inducing revolutionary undergraduate medical reform. Nevertheless, obtaining informed agreement on the characteristics of the PBL "genus" is a challenge when the label is vulnerable to being borrowed for prestige or subversion. Many "PBL" single-subject courses within traditional curricula do not use PBL at all. Such semantic uncertainty compromises the evidence-base on the added value of problem-based versus traditional approaches and the main messages for good practice. This literature review explores what is meant by the term PBL by aiming to answer the following questions: What difficulties are inherent in the "problem-based" tag? What does the term "problem-based curriculum" imply? How has PBL been characterized and validated by focusing on its purpose? How else has PBL been characterized? How does PBL relate to problem solving? How does PBL relate to epistemological reform? In conclusion, what ground rules can be formulated for PBL? Despite much conceptual fog lingering over the PBL literature, useful ground rules can be formulated.
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“The widespread adoption of the PBL instructional approach by different disciplines, for different age levels, and in different content domains has produced some misapplications and misconceptions of PBL (Maudsley, 1999).”
From Overview of Problem-based Learning: Definitions and Distinctions (2006) · cites this paper as Maudsley, 1999
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Cites
Petersdorf, R. G. (1993) · Academic Medicine · doi:10.1097/00001888-199301000-00012 · Cited by 2,503
Thought and Knowledge: An Introduction to Critical Thinking
Halpern, D. F. (1989) · Cited by 1,601
The psychological basis of problem-based learning
Norman, G. R., & Schmidt, H. G. (1992) · Academic Medicine · doi:10.1097/00001888-199209000-00002 · Cited by 1,472
Does problem-based learning work? A meta-analysis of evaluative research
Vernon, D. T., & Blake, R. L. (1993) · Academic Medicine · doi:10.1097/00001888-199307000-00015 · Cited by 1,456
Medical Problem Solving: An Analysis of Clinical Reasoning
Elstein, A. S., Shulman, L. S., & Sprafka, S. A. (1978) · doi:10.4159/harvard.9780674189089 · Cited by 1,377
Problem-based learning: have the expectations been met?
Berkson, L. (1993) · Academic Medicine · doi:10.1097/00001888-199310000-00053 · Cited by 430
The clinical reasoning process
Barrows, H. S., & Feltovich, P. J. (1987) · Medical Education · doi:10.1111/j.1365-2923.1987.tb00671.x · Cited by 274
Effects of conventional and problem-based medical curricula on problem solving
Patel, V. L., Groen, G. J., & Norman, G. R. (1991) · Academic Medicine · doi:10.1097/00001888-199107000-00002 · Cited by 210
The many faces of problem-based learning: a framework for understanding and comparison
HANSEN, B. C. K. M. P. (1998) · Medical Teacher · doi:10.1080/01421599880742 · Cited by 169
Teaching Clinical Medicine by Iterative Hypothesis Testing
Kassirer, J. P. (1983) · New England Journal of Medicine · doi:10.1056/nejm198310133091511 · Cited by 150
Current educational reform and the significance of problem-based learning
Margetson, D. (1994) · Studies in Higher Education · doi:10.1080/03075079412331382103 · Cited by 138
Developing Clinical Problem-Solving Skills: A Guide to More Effective Diagnosis and Treatment
(1992) · Annals of Internal Medicine · doi:10.7326/0003-4819-116-7-607_2 · Cited by 52
Problem-based learning and meta-analysis
Wolf, F. M. (1993) · Academic Medicine · doi:10.1097/00001888-199307000-00007 · Cited by 26
Problem‐based learning and community‐oriented medical education
GLICK, S. M. (1991) · Medical Education · doi:10.1111/j.1365-2923.1991.tb00109.x · Cited by 12
Problem solving skills versus problem based learning.
Gr, N. (1989) · PubMed · Cited by 10
The Necessary Distortion of Disseminated Innovations
Pitman, A. (1981) · Journal of Curriculum Studies · doi:10.1080/0022027810130308 · Cited by 8
Cited by
Sorted by citations
Overview of Problem-based Learning: Definitions and Distinctions
Savery, J. R. (2006) · Interdisciplinary Journal of Problem-based Learning · doi:10.7771/1541-5015.1002 · Cited by 2,686
“The widespread adoption of the PBL instructional approach by different disciplines, for different age levels, and in different content domains has produced some misapplications and misconceptions of PBL (Maudsley, 1999).”
Ströbel, J., & van Barneveld, A. (2009) · Interdisciplinary Journal of Problem-based Learning · doi:10.7771/1541-5015.1046 · Cited by 1,120
Effectiveness of problem‐based learning curricula: theory, practice and paper darts
Norman, G. R., & Schmidt, H. G. (2000) · Medical Education · doi:10.1046/j.1365-2923.2000.00749.x · Cited by 712
Koh, G. C.-H., Khoo, H. E., Wong, M. L., & Koh, D. (2008) · Canadian Medical Association Journal · doi:10.1503/cmaj.070565 · Cited by 659
Learner centred approaches in medical education
Spencer, J. A., & Jordan, R. K. (1999) · BMJ · doi:10.1136/bmj.318.7193.1280 · Cited by 577
Metadata
- Authors
- Maudsley, G.
- Affiliations
- University of Liverpool (GB)
- Corresponding author
- Maudsley, G
- ORCID
- Maudsley, G
- Venue
- Academic Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 1999-02
- Volume
- 74
- Issue
- 2
- Pages
- 178-85
- ISSN
- 1040-2446 (ISSN-L)
- OpenAlex
- W2026944768
- Cited by
- 367
- References
- 16
- Citations by year
- 2025: 1 · 2024: 8 · 2023: 13 · 2022: 7 · 2021: 4 · 2020: 12 · 2019: 14 · 2018: 6 · 2017: 15 · 2016: 13 · 2015: 12 · 2014: 17 · 2013: 11 · 2012: 18
- FWCI
- 72.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Academic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Education › Problem and Project Based Learning
- Social Sciences › Education › Innovations in Medical Education
- Physical Sciences › Engineering › Biomedical Engineering › Biomedical and Engineering Education
- Keywords
- problem-based learning, problem-based curriculum, undergraduate medical education, problem solving, curriculum development, conceptual clarity, medical curriculum reform
- MeSH terms
- Curriculum, Education, Medical, Undergraduate, Humans, Problem-Based Learning
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